Breast Radiology Reporting - 1st STU ballot - Local Development build (v0.2.0). See the Directory of published versions

MarginCodeSystem - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:CodeSystem;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "MarginCS"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>MarginCodeSystem</h2><div><p>Margin code system.</p>\n</div><p>This code system http://hl7.org/fhir/us/breast-radiology/CodeSystem/MarginCS defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">AngularMargin<a name=\"MarginCS-AngularMargin\"> </a></td><td>Angular margin</td><td>Some or all of the margin has sharp corners, often \r\nforming acute angles. \r\nThe margin of the mass is not circumscribed. \r\n\r\n\r\nValid for the following modalities: US.</td></tr><tr><td style=\"white-space:nowrap\">CircumscribedMargin<a name=\"MarginCS-CircumscribedMargin\"> </a></td><td>Circumscribed margin</td><td>A circumscribed margin is one that is well defined, \r\nwith an abrupt transition between \r\nthe lesion and the surrounding tissue. \r\nFor US, to describe a mass as circumscribed, its \r\nentire margin must be sharply defined. \r\nMost circumscribed lesions have round or oval shapes. \r\n[Breast Imaging Reporting and Data System—Mammography, Fifth Edition page 49] \r\n\r\nValid for the following modalities: MG US MRI.</td></tr><tr><td style=\"white-space:nowrap\">IndistinctMargin<a name=\"MarginCS-IndistinctMargin\"> </a></td><td>Indistinct margin</td><td>There is no clear demarcation of the entire margin, \r\nor of any portion of the margin, \r\nfrom the surrounding \r\ntissue. \r\nFor mammography, this descriptor should not be used \r\nwhen the interpreting \r\nphysician believes it is likely due to immediately \r\nadjacent breast tissue. \r\nUse of this descriptor \r\nusually implies a suspicious finding. \r\n[Breast Imaging Reporting and Data System—Ultrasound, Second Edition page 23] \r\n\r\nValid for the following modalities: MG US.</td></tr><tr><td style=\"white-space:nowrap\">IntraductalExtension<a name=\"MarginCS-IntraductalExtension\"> </a></td><td>Intraductal extension</td><td>Intraductal tumor extension is a characteristic feature \r\nof primary breast carcinoma, \r\nand is an important consideration in patients undergoing \r\nbreast conservative surgery. \r\n[https://www.ncbi.nlm.nih.gov/pubmed/8630874] \r\n\r\nValid for the following modalities: US.</td></tr><tr><td style=\"white-space:nowrap\">IrregularMargin<a name=\"MarginCS-IrregularMargin\"> </a></td><td>Irregular margin</td><td>Edges around the soft tissue that don't look smooth. \r\nIndicative of some sort of growth or mass rather \r\nthan a cyst. \r\n\r\n\r\nValid for the following modalities: MG US MRI.</td></tr><tr><td style=\"white-space:nowrap\">LobulatedMargin<a name=\"MarginCS-LobulatedMargin\"> </a></td><td>Lobulated margin</td><td>The edge of the mass has broad bulges. \r\nMuch like a 6 or 8 leaf clover. \r\nThe edge of all of the leaves would be considered \r\nlobulated. \r\n\r\n\r\nValid for the following modalities: US.</td></tr><tr><td style=\"white-space:nowrap\">MacrolobulatedMargin<a name=\"MarginCS-MacrolobulatedMargin\"> </a></td><td>Macrolobulated margin</td><td>Smooth margin with distinct separation between the \r\nmass and the surrounding border. \r\nMacrolobulaed margins are  oval-shaped and  have \r\na wide rather than tall formation. \r\n\r\n\r\nValid for the following modalities: MG.</td></tr><tr><td style=\"white-space:nowrap\">MicrolobulatedMargin<a name=\"MarginCS-MicrolobulatedMargin\"> </a></td><td>Microlobulated margin</td><td>The margin is characterized by short-cycle undulations \r\nor scalloped appearance,and \r\nthe margin of the mass is not circumscribed. \r\n[Breast Imaging Reporting and Data System—Mammography, Fifth Edition page 54] \r\n\r\nValid for the following modalities: MG US.</td></tr><tr><td style=\"white-space:nowrap\">NonCircumscribedMargin<a name=\"MarginCS-NonCircumscribedMargin\"> </a></td><td>Non circumscribed margin</td><td>The mass has one or more of the following features: \r\nindistinct, \r\nangular, microlobulated, or spiculated in any portion \r\nof the margin There is not a clear demarcation between \r\nthe mass and the surrounding \r\ntissue. \r\n[Breast Imaging Reporting and Data System—Mammography, Fifth Edition page 153] \r\n\r\nValid for the following modalities: US MRI.</td></tr><tr><td style=\"white-space:nowrap\">ObscuredMagin<a name=\"MarginCS-ObscuredMagin\"> </a></td><td>Obscured magin</td><td>It is hidden by superimposed or adjacent fibroglandular \r\ntissue. \r\nThis is used primarily when some of the margin of \r\nthe mass is circumscribed, but \r\nthe rest (more than 25%) is hidden. \r\n\r\n\r\nValid for the following modalities: MG.</td></tr><tr><td style=\"white-space:nowrap\">SmoothMargin<a name=\"MarginCS-SmoothMargin\"> </a></td><td>Smooth margin</td><td>The edges of the mass have a smooth appearance and \r\ndistinct separation between the \r\nmass and surrounding tissue. \r\n\r\n\r\nValid for the following modalities: US MRI.</td></tr><tr><td style=\"white-space:nowrap\">SpiculatedMargin<a name=\"MarginCS-SpiculatedMargin\"> </a></td><td>Spiculated margin</td><td>The margin is characterized by sharp lines radiating \r\nfrom the mass, often a sign \r\nof malignancy, \r\nbut the significant feature is that the margin of \r\nthe mass is not circumscribed. \r\n[Breast Imaging Reporting and Data System—Mammography, Fifth Edition page 55] \r\n\r\nValid for the following modalities: MG US MRI.</td></tr></table></div>"
  ];
  fhir:CodeSystem.url [ fhir:value "http://hl7.org/fhir/us/breast-radiology/CodeSystem/MarginCS"];
  fhir:CodeSystem.version [ fhir:value "0.2.0"];
  fhir:CodeSystem.name [ fhir:value "MarginCS"];
  fhir:CodeSystem.title [ fhir:value "MarginCodeSystem"];
  fhir:CodeSystem.status [ fhir:value "draft"];
  fhir:CodeSystem.date [ fhir:value "2019-11-01T00:00:00+00:00"^^xsd:dateTime];
  fhir:CodeSystem.publisher [ fhir:value "Hl7 - Clinical Interoperability Council"];
  fhir:CodeSystem.contact [
     fhir:index 0;
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://hl7.org/Special/committees/cic" ]     ]
  ];
  fhir:CodeSystem.description [ fhir:value "Margin code system."];
  fhir:CodeSystem.jurisdiction [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://unstats.un.org/unsd/methods/m49/m49.htm" ];
       fhir:Coding.code [ fhir:value "001" ]     ]
  ];
  fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean];
  fhir:CodeSystem.content [ fhir:value "complete"];
  fhir:CodeSystem.count [ fhir:value "12"^^xsd:nonNegativeInteger];
  fhir:CodeSystem.concept [
     fhir:index 0;
     fhir:CodeSystem.concept.code [ fhir:value "AngularMargin" ];
     fhir:CodeSystem.concept.display [ fhir:value "Angular margin" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Some or all of the margin has sharp corners, often \r\nforming acute angles. \r\nThe margin of the mass is not circumscribed. \r\n\r\n\r\nValid for the following modalities: US." ]
  ], [
     fhir:index 1;
     fhir:CodeSystem.concept.code [ fhir:value "CircumscribedMargin" ];
     fhir:CodeSystem.concept.display [ fhir:value "Circumscribed margin" ];
     fhir:CodeSystem.concept.definition [ fhir:value "A circumscribed margin is one that is well defined, \r\nwith an abrupt transition between \r\nthe lesion and the surrounding tissue. \r\nFor US, to describe a mass as circumscribed, its \r\nentire margin must be sharply defined. \r\nMost circumscribed lesions have round or oval shapes. \r\n[Breast Imaging Reporting and Data System—Mammography, Fifth Edition page 49] \r\n\r\nValid for the following modalities: MG US MRI." ]
  ], [
     fhir:index 2;
     fhir:CodeSystem.concept.code [ fhir:value "IndistinctMargin" ];
     fhir:CodeSystem.concept.display [ fhir:value "Indistinct margin" ];
     fhir:CodeSystem.concept.definition [ fhir:value "There is no clear demarcation of the entire margin, \r\nor of any portion of the margin, \r\nfrom the surrounding \r\ntissue. \r\nFor mammography, this descriptor should not be used \r\nwhen the interpreting \r\nphysician believes it is likely due to immediately \r\nadjacent breast tissue. \r\nUse of this descriptor \r\nusually implies a suspicious finding. \r\n[Breast Imaging Reporting and Data System—Ultrasound, Second Edition page 23] \r\n\r\nValid for the following modalities: MG US." ]
  ], [
     fhir:index 3;
     fhir:CodeSystem.concept.code [ fhir:value "IntraductalExtension" ];
     fhir:CodeSystem.concept.display [ fhir:value "Intraductal extension" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Intraductal tumor extension is a characteristic feature \r\nof primary breast carcinoma, \r\nand is an important consideration in patients undergoing \r\nbreast conservative surgery. \r\n[https://www.ncbi.nlm.nih.gov/pubmed/8630874] \r\n\r\nValid for the following modalities: US." ]
  ], [
     fhir:index 4;
     fhir:CodeSystem.concept.code [ fhir:value "IrregularMargin" ];
     fhir:CodeSystem.concept.display [ fhir:value "Irregular margin" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Edges around the soft tissue that don't look smooth. \r\nIndicative of some sort of growth or mass rather \r\nthan a cyst. \r\n\r\n\r\nValid for the following modalities: MG US MRI." ]
  ], [
     fhir:index 5;
     fhir:CodeSystem.concept.code [ fhir:value "LobulatedMargin" ];
     fhir:CodeSystem.concept.display [ fhir:value "Lobulated margin" ];
     fhir:CodeSystem.concept.definition [ fhir:value "The edge of the mass has broad bulges. \r\nMuch like a 6 or 8 leaf clover. \r\nThe edge of all of the leaves would be considered \r\nlobulated. \r\n\r\n\r\nValid for the following modalities: US." ]
  ], [
     fhir:index 6;
     fhir:CodeSystem.concept.code [ fhir:value "MacrolobulatedMargin" ];
     fhir:CodeSystem.concept.display [ fhir:value "Macrolobulated margin" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Smooth margin with distinct separation between the \r\nmass and the surrounding border. \r\nMacrolobulaed margins are  oval-shaped and  have \r\na wide rather than tall formation. \r\n\r\n\r\nValid for the following modalities: MG." ]
  ], [
     fhir:index 7;
     fhir:CodeSystem.concept.code [ fhir:value "MicrolobulatedMargin" ];
     fhir:CodeSystem.concept.display [ fhir:value "Microlobulated margin" ];
     fhir:CodeSystem.concept.definition [ fhir:value "The margin is characterized by short-cycle undulations \r\nor scalloped appearance,and \r\nthe margin of the mass is not circumscribed. \r\n[Breast Imaging Reporting and Data System—Mammography, Fifth Edition page 54] \r\n\r\nValid for the following modalities: MG US." ]
  ], [
     fhir:index 8;
     fhir:CodeSystem.concept.code [ fhir:value "NonCircumscribedMargin" ];
     fhir:CodeSystem.concept.display [ fhir:value "Non circumscribed margin" ];
     fhir:CodeSystem.concept.definition [ fhir:value "The mass has one or more of the following features: \r\nindistinct, \r\nangular, microlobulated, or spiculated in any portion \r\nof the margin There is not a clear demarcation between \r\nthe mass and the surrounding \r\ntissue. \r\n[Breast Imaging Reporting and Data System—Mammography, Fifth Edition page 153] \r\n\r\nValid for the following modalities: US MRI." ]
  ], [
     fhir:index 9;
     fhir:CodeSystem.concept.code [ fhir:value "ObscuredMagin" ];
     fhir:CodeSystem.concept.display [ fhir:value "Obscured magin" ];
     fhir:CodeSystem.concept.definition [ fhir:value "It is hidden by superimposed or adjacent fibroglandular \r\ntissue. \r\nThis is used primarily when some of the margin of \r\nthe mass is circumscribed, but \r\nthe rest (more than 25%) is hidden. \r\n\r\n\r\nValid for the following modalities: MG." ]
  ], [
     fhir:index 10;
     fhir:CodeSystem.concept.code [ fhir:value "SmoothMargin" ];
     fhir:CodeSystem.concept.display [ fhir:value "Smooth margin" ];
     fhir:CodeSystem.concept.definition [ fhir:value "The edges of the mass have a smooth appearance and \r\ndistinct separation between the \r\nmass and surrounding tissue. \r\n\r\n\r\nValid for the following modalities: US MRI." ]
  ], [
     fhir:index 11;
     fhir:CodeSystem.concept.code [ fhir:value "SpiculatedMargin" ];
     fhir:CodeSystem.concept.display [ fhir:value "Spiculated margin" ];
     fhir:CodeSystem.concept.definition [ fhir:value "The margin is characterized by sharp lines radiating \r\nfrom the mass, often a sign \r\nof malignancy, \r\nbut the significant feature is that the margin of \r\nthe mass is not circumscribed. \r\n[Breast Imaging Reporting and Data System—Mammography, Fifth Edition page 55] \r\n\r\nValid for the following modalities: MG US MRI." ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.